When the body is correctly aligned, the shoulders are the same height, and face forward. Uneven shoulders are when one shoulder begins to raise higher than the other. It usually starts with a slight difference but can turn into a more severe imbalance causing discomfort, tightness, and pain in the neck, shoulders, hips, and back. Chiropractic treatment can bring the body back into balance and alignment through various techniques and therapy modalities.Misaligned Uneven Shoulders Chiropractor

Misaligned Uneven Shoulders

Several factors can lead to uneven shoulders. Misalignments can be caused by:

  • Often the shoulder on the dominant side tends to be slightly lower.
  • Constantly using one hand or side for everything.
  • Carrying a heavy bag on the dominant shoulder.
  • Structural issues or muscular skeletal imbalances in other areas of the body.

For example, if the ankle or hip gets injured, it can cause an individual to bring their body out of alignment to adjust to how they position themselves and move. Other common causes include:

  • Overuse of the shoulders
  • Tight upper back muscles
  • Unhealthy posture
  • Uneven hips
  • Pinched nerve
  • Weak muscles
  • Flat feet
  • Sedentary lifestyle
  • Varying leg length
  • Osteoporosis
  • Scoliosis
  • Shoulder injuries
  • Incorrect sleeping position or sleeping on one side
  • Sports like tennis, golf, and baseball have an increased risk of causing misaligned, uneven shoulders and posture imbalances.


Uneven shoulders can result in discomfort, tightness, and stiffness in the neck, shoulders, and lower back.

  • Continued tightness and pulling in the higher shoulder.
  • Rounded shoulders
  • Headaches
  • Head misalignment
  • Hip misalignment
  • Shifting pelvis
  • Bursitis
  • Tendonitis


A chiropractic massage and functional medicine team will bring the shoulders back into normal alignment.

  • Therapeutic myofascial releaseย massage will release tension, relax the muscles, and increase flexibility.
  • Chiropractic adjustments
  • Spinal decompression therapy
  • Stretches and muscle-building exercises to balance the shoulders.
  • Lifestyle adjustment instructions for switching shoulders when carrying bags, using armrests, using the phone, using a mouse, and using ergonomic chairs.
  • Posture training includes learning to stay aware of one’s posture throughout the day when standing or sitting and completing regular activities.
  • Learning to use the non-dominant arm to balance the workload.
  • Incorporating relaxation, meditation, and breathing techniques to relieve stress, tension, and tightness.

Shoulder Pain Treatment


Burbank, Kelton M et al. “Chronic shoulder pain: part I. Evaluation and diagnosis.” American family physician vol. 77,4 (2008): 453-60.

Foroozan Mahmoodi et al. The effect of corrective exercises on the pain and degree of uneven shoulder deformity rsr.basu.ac.ir/article_625_en.html

Mayo Clinic Staff. (2017). Stress management. mayoclinic.org/healthy-lifestyle/stress-management/in-depth/relaxation-technique/art-20045368

Mitchell, Caroline, et al. “Shoulder pain: diagnosis and management in primary care.” BMJ (Clinical research ed.) vol. 331,7525 (2005): 1124-8. doi:10.1136/bmj.331.7525.1124

Pu Chu, Eric Chun, and Kevin Hsu Kai Huang. “Bridging the gap between observation and brace treatment for adolescent idiopathic scoliosis.” Journal of family medicine and primary care vol. 6,2 (2017): 447-449. doi:10.4103/jfmpc.jfmpc_52_17

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The information herein on "Misaligned Uneven Shoulders Chiropractic Sciatica Clinic" is not intended to replace a one-on-one relationship with a qualified health care professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional.

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Dr. Alex Jimenez DC, MSACP, RN*, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

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Dr. Alex Jimenez
Specialties: Stopping the PAIN! We Specialize in Treating Severe Sciatica, Neck-Back Pain, Whiplash, Headaches, Knee Injuries, Sports Injuries, Dizziness, Poor Sleep, Arthritis. We use advanced proven therapies focused on optimal Mobility, Posture Control, Deep Health Instruction, Integrative & Functional Medicine, Functional Fitness, Chronic Degenerative Disorder Treatment Protocols, and Structural Conditioning. We also integrate Wellness Nutrition, Wellness Detoxification Protocols and Functional Medicine for chronic musculoskeletal disorders. We use effective "Patient Focused Diet Plans", Specialized Chiropractic Techniques, Mobility-Agility Training, Cross-Fit Protocols, and the Premier "PUSH Functional Fitness System" to treat patients suffering from various injuries and health problems. Ultimately, I am here to serve my patients and community as a Chiropractor passionately restoring functional life and facilitating living through increased mobility. Purpose & Passions: I am a Doctor of Chiropractic specializing in progressive cutting-edge therapies and functional rehabilitation procedures focused on clinical physiology, total health, functional strength training, functional medicine, and complete conditioning. We focus on restoring normal body functions after neck, back, spinal and soft tissue injuries. We use Specialized Chiropractic Protocols, Wellness Programs, Functional & Integrative Nutrition, Agility & Mobility Fitness Training and Cross-Fit Rehabilitation Systems for all ages. As an extension to dynamic rehabilitation, we too offer our patients, disabled veterans, athletes, young and elder a diverse portfolio of strength equipment, high-performance exercises and advanced agility treatment options. We have teamed up with the cities' premier doctors, therapist and trainers in order to provide high-level competitive athletes the options to push themselves to their highest abilities within our facilities. We've been blessed to use our methods with thousands of El Pasoans over the last 3 decades allowing us to restore our patients' health and fitness while implementing researched non-surgical methods and functional wellness programs. Our programs are natural and use the body's ability to achieve specific measured goals, rather than introducing harmful chemicals, controversial hormone replacement, un-wanted surgeries, or addictive drugs. We want you to live a functional life that is fulfilled with more energy, a positive attitude, better sleep, and less pain. Our goal is to ultimately empower our patients to maintain the healthiest way of living. With a bit of work, we can achieve optimal health together, no matter the age, ability or disability.